Teena C. Bannihatti1, Ramaraju H. E2
ABSTRACT: Rupture of the gravid uterus is a catastrophic event to both mother and fetus. Majority of cases occur in women with scarred uteri. This is the case report of a 28 year old lady, G2 P 1 L 1 with 26 weeks of gestation with previous cesarean section who presented to us with severe acute abdominal pain, associated with vaginal bleeding since 4 hours. Two years ago she had undergone classical cesarean section owing to a transverse lie. On examination, she was in hemorrhagic shock. She was severely pale. Her pulse rate was 120 beats per minute, blood pressure was 80/40 mm of Hg. On abdominal examination, vertical infra umbilical scar seen, uterine contour could not be made out. Fetal parts were easily felt with no cardiac activity. Vaginal examination revealed bleeding. Rupture uterus complicating pregnancy was diagnosed. She was immediately taken up for emergency Laparotomy, under general anaesthesia. Intra operative findings and further management of the case will be discussed. Though patient presented to us in hemorrhagic shock, timely resuscitation with packed cells and emergency Laparotomy and hysterectomy saved her life.